MCB RADIOLOGY – NPI #1134894058
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

MCB RADIOLOGY is a radiologist located in JACKSONVILLE, FL. NPPES has assigned the NPI number 1134894058 to MCB RADIOLOGY on August 12, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “MCB RADIOLOGY” is a dba name, the actual legal business name for this organization is DRS. MCCLOW, CLARK & BERK PA. The primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology

The NPI profile was previously updated about 3 years ago on Aug 15, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MCB RADIOLOGY below.

NPI Profile for
DRS. MCCLOW, CLARK & BERK PA

NPI Number
1134894058
Enumeration Date

(about 5 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
DRS. MCCLOW, CLARK & BERK PA
Doing Business As (dba): MCB RADIOLOGY
Primary location
1786 BLANDING BLVD STE K2-B
JACKSONVILLE, FL 32068-3804
Phone: (904) 450-6940 Fax:
Mailing address
PO BOX 161180
ALTAMONTE SPRINGS, FL 32716-1180
Phone: Fax:
Organization Subpart
No
Authorized Official
ARIO REZAEI
PRESIDENT
Phone: (904) 388-6949
Updated
Certification Date
Aug 15, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2085R0202X
- Radiology / Diagnostic Radiology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.